CPT code 33512: Coronary bypass, three venous grafts2026 Medicare rate & RVUs in Washington, DC area
Reports coronary artery bypass using three venous grafts, typically for coronary artery disease when the operative record documents three vein grafts.
In Washington, DC area, Medicare pays $2,459.76 for 33512 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33512 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33512 covers
A cardiothoracic surgeon uses venous conduits, commonly harvested from the leg, to route blood around obstructed coronary arteries. This service is generally performed in a hospital operating room as surgical treatment for coronary artery disease. The code represents a bypass configuration using three venous grafts; it is not selected simply because three coronary arteries have disease.
Choose the code from the graft details in the operative report. When arterial and venous grafts are combined, use the combination CABG coding family rather than this venous-only code. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Washington, DC area compares for 33512
Across 109 of 109 payment localities, the facility rate for 33512 runs from $1,995.15 in Wisconsin to $2,847.43 in Alaska. Washington, DC area pays $2,459.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$2,459.76
- Los Angeles, CA · California$2,285.75−$174.01
- Miami, FL · Florida$2,814.95+$355.19
- Chicago, IL · Illinois$2,725.67+$265.91
- Manhattan, NY · New York$2,632.69+$172.93
- Alaska · Alaska$2,847.43+$387.67
- Alabama · Alabama$2,046.41−$413.35
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $2,020.89 |
| ArizonaArizona | — | $2,192.92 |
| Bakersfield, CACalifornia | — | $2,193.62 |
| Chico, CACalifornia | — | $2,165.11 |
| El Centro, CACalifornia | — | $2,166.86 |
| Fresno, CACalifornia | — | $2,165.11 |
| Hanford, CACalifornia | — | $2,165.11 |
| Madera, CACalifornia | — | $2,165.11 |
| Merced, CACalifornia | — | $2,165.11 |
| Modesto, CACalifornia | — | $2,165.11 |
| Napa, CACalifornia | — | $2,326.52 |
| Oxnard, CACalifornia | — | $2,252.25 |
| Redding, CACalifornia | — | $2,165.11 |
| Rest of CaliforniaCalifornia | — | $2,165.11 |
| Riverside, CACalifornia | — | $2,277.93 |
| Sacramento, CACalifornia | — | $2,224.12 |
| Salinas, CACalifornia | — | $2,215.06 |
| San Diego, CACalifornia | — | $2,233.30 |
| Marin County, CACalifornia | — | $2,398.80 |
| San Francisco, CACalifornia | — | $2,386.85 |
| San Benito County, CACalifornia | — | $2,462.53 |
| Santa Clara County, CACalifornia | — | $2,413.68 |
| San Luis Obispo, CACalifornia | — | $2,185.52 |
| Santa Cruz, CACalifornia | — | $2,227.32 |
| Santa Maria, CACalifornia | — | $2,214.09 |
| Santa Rosa, CACalifornia | — | $2,246.38 |
| Stockton, CACalifornia | — | $2,165.11 |
| Vallejo, CACalifornia | — | $2,309.30 |
| Visalia, CACalifornia | — | $2,165.11 |
| Yuba City, CACalifornia | — | $2,165.11 |
| ColoradoColorado | — | $2,228.85 |
| ConnecticutConnecticut | — | $2,397.21 |
| DelawareDelaware | — | $2,224.21 |
| Fort Lauderdale, FLFlorida | — | $2,548.32 |
| Rest of FloridaFlorida | — | $2,414.09 |
| Atlanta, GAGeorgia | — | $2,340.75 |
| Rest of GeorgiaGeorgia | — | $2,274.44 |
| Hawaii, Guam, HIHawaii | — | $2,175.33 |
| IowaIowa | — | $2,006.01 |
| IdahoIdaho | — | $2,035.09 |
| East St. Louis, ILIllinois | — | $2,576.56 |
| Rest of IllinoisIllinois | — | $2,414.77 |
| Suburban Chicago, ILIllinois | — | $2,552.34 |
| IndianaIndiana | — | $2,042.98 |
| KansasKansas | — | $2,038.39 |
| KentuckyKentucky | — | $2,175.68 |
| New Orleans, LALouisiana | — | $2,278.02 |
| Rest of LouisianaLouisiana | — | $2,188.89 |
| Metropolitan Boston, MAMassachusetts | — | $2,370.38 |
| Rest of MassachusettsMassachusetts | — | $2,234.98 |
| Baltimore area, MDMaryland | — | $2,399.07 |
| Rest of MarylandMaryland | — | $2,249.44 |
| Rest of MaineMaine | — | $2,087.44 |
| Southern Maine, MEMaine | — | $2,124.30 |
| Detroit, MIMichigan | — | $2,482.67 |
| Rest of MichiganMichigan | — | $2,262.27 |
| MinnesotaMinnesota | — | $2,024.63 |
| Metropolitan Kansas City, MOMissouri | — | $2,221.20 |
| Metropolitan St. Louis, MOMissouri | — | $2,236.16 |
| Rest of MissouriMissouri | — | $2,183.60 |
| MississippiMississippi | — | $2,100.55 |
| MontanaMontana | — | $2,257.53 |
| North CarolinaNorth Carolina | — | $2,099.59 |
| North DakotaNorth Dakota | — | $2,049.52 |
| NebraskaNebraska | — | $2,003.13 |
| New HampshireNew Hampshire | — | $2,233.77 |
| Northern New JerseyNew Jersey | — | $2,448.30 |
| Rest of New JerseyNew Jersey | — | $2,393.27 |
| New MexicoNew Mexico | — | $2,289.47 |
| NevadaNevada | — | $2,200.03 |
| NYC suburbs and Long Island, NYNew York | — | $2,740.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,441.56 |
| Queens, NYNew York | — | $2,591.59 |
| Rest of New YorkNew York | — | $2,130.14 |
| OhioOhio | — | $2,219.75 |
| OklahomaOklahoma | — | $2,129.09 |
| Portland, OROregon | — | $2,243.88 |
| Rest of OregonOregon | — | $2,151.98 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,371.29 |
| Rest of PennsylvaniaPennsylvania | — | $2,199.99 |
| Puerto RicoPuerto Rico | — | $2,258.19 |
| Rhode IslandRhode Island | — | $2,263.16 |
| South CarolinaSouth Carolina | — | $2,169.46 |
| South DakotaSouth Dakota | — | $2,024.92 |
| TennesseeTennessee | — | $2,052.36 |
| Austin, TXTexas | — | $2,248.57 |
| Beaumont, TXTexas | — | $2,190.57 |
| Brazoria, TXTexas | — | $2,188.12 |
| Dallas, TXTexas | — | $2,219.33 |
| Fort Worth, TXTexas | — | $2,219.15 |
| Galveston, TXTexas | — | $2,205.93 |
| Houston, TXTexas | — | $2,398.49 |
| Rest of TexasTexas | — | $2,199.95 |
| UtahUtah | — | $2,193.92 |
| VirginiaVirginia | — | $2,146.86 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,258.19 |
| VermontVermont | — | $2,079.91 |
| Rest of WashingtonWashington | — | $2,218.03 |
| King County, WAWashington | — | $2,373.28 |
| WisconsinWisconsin | — | $1,995.15 |
| West VirginiaWest Virginia | — | $2,347.50 |
| WyomingWyoming | — | $2,166.88 |
33512 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33512 rate is calculated
Each of 33512’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33512
RVUs × geographic indexes × conversion factor
Work42.88
42.88 RVUs× 1.000 GPCI
Practice expense14.21
14.21 RVUs× 1.000 GPCI
Malpractice10.52
10.52 RVUs× 1.000 GPCI
Adjusted RVUs
67.6100
Conversion factor
$33.4009
Medicare rate
$2,258.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,985
- Code
- 33512
- Physician work
- 42.88
- Practice expense
- 14.21
- Malpractice
- 10.52
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 42.88 | × 1.054 | 45.1955 |
| Practice expense | 14.21 | × 1.178 | 16.7394 |
| Malpractice | 10.52 | × 1.113 | 11.7088 |
| Total RVUs | 73.6437 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$2459.76
Facility: (42.88 × 1.054 + 14.21 × 1.178 + 10.52 × 1.113) × $33.4009 = $2459.76
Payment rules and modifiers for 33512
33512 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33512
Coronary bypass, three venous grafts
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33512
Coronary bypass, three venous grafts
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33512 without 51 · national facility
$2,258.23
Coronary bypass, three venous grafts
33512-51 · Second procedure: 50%
$1,129.12
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 33512 has changed in Washington, DC area
33512 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2,459.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,459.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,459.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,459.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,550.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,550.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,550.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,550.90 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,617.06 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,617.06 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,617.06 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,617.06 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,574.34 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,689.64 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,689.64 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,689.64 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,689.64 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,783.63 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,783.63 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,783.63 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,783.63 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,791.44 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,791.44 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,791.44 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,791.44 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,834.35 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,834.35 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,834.35 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,834.35 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,805.16 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,805.16 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,805.16 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,805.16 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,796.12 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,796.12 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,796.12 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,796.12 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,804.99 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,804.99 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,804.99 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,804.99 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,815.23 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,815.23 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,815.23 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,815.23 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,823.47 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,823.47 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,809.42 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,809.42 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,798.57 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,798.57 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,798.57 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,798.57 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,716.56 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,716.56 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,716.56 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,716.56 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
33512 billing questions
How is this code distinguished from the two- or four-graft codes?
Use the operative report to establish the number of venous grafts. This code represents three; 33511 represents two and 33513 represents four.
Does three-vessel coronary disease automatically support this code?
No. Code selection follows the venous graft configuration documented for the operation, not the number of diseased coronary vessels.
What if arterial and venous grafts are both used?
Use the CABG combination family for a procedure that includes both arterial and venous grafts, rather than reporting this venous-only code for the combined configuration.
Can modifier 50 be appended?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for its bypass configuration.
How does the global period affect related postoperative care?
The 90-day major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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